Individual
DR. DUSTIN W REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1501 NE 10TH AVE, PAYETTE, ID 83661-5422
(208) 642-9379
(208) 642-5004
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4858
ID
1223G0001X
General Practice Dentistry
D10666
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500729177
—
OR
Enumeration date
03/22/2016
Last updated
01/14/2026
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